Asepsis & infection control

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Created by:

jojobd525  on November 4, 2011

Subjects:

nursing fundamentals

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Asepsis & infection control

chain of infection
* infectious agent (pathogen)- microorganisms, bacteria, fungi & protozoa
* reservoir (source for pathogen)- place where pathogen can survive; may/may not multiply
* portal of exit (from the reservoir)- blood, skin, mucous membranes
* mode of transmission- major is unwashed hands
* portal of entry (to the host)- depends on susceptibility, strength & number
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Definitions

chain of infection * infectious agent (pathogen)- microorganisms, bacteria, fungi & protozoa
* reservoir (source for pathogen)- place where pathogen can survive; may/may not multiply
* portal of exit (from the reservoir)- blood, skin, mucous membranes
* mode of transmission- major is unwashed hands
* portal of entry (to the host)- depends on susceptibility, strength & number
Direct- mode of transmission * person to person (fecal, oral)
* physical contact between source & susceptible host
Indirect- mode of transmission * personal contact of susceptible host w/ contaminated inanimate object (needles, dressings, environment)
Droplet- mode of transmission * large particles that travel up to 3 feet & come in contact w/ susceptible host (coughing, sneezing, talking)
Airborne - mode of transmission * droplet nuclei, or residue or evaporated droplets suspended in air or carried on dust particles
Vehicles- mode of transmission * contaminated items
* water
* drugs, solutions
* blood
* food
Vector- mode of transmission * flies
* mosquito
* louse
* flea
* tick
Incubation period- infection stage * interval between entrance & appearance of 1st symptoms
Prodromal stage- infection stage * interval from non specific to specific signs & symptoms
Full stage of illness- infection stage * manifests signs & symptoms specific to type of infection
Convalescent period- infection stage * acute symptoms of infection disappear
Normal Flora- defenses against infection microorganisms within body; do not cause disease when in usual area of body
Body system defenses- defenses against infection each organ system has different defense mechanisms; skin, mouth, eye, UT, GI, vagina
Inflammation- defenses against infection protective vascular reaction that delivers fluid, blood producers & nutrients to an area of injury
signs & symptoms of infection * redness, warmth, tenderness, edema
* drainage/sputum
* fever/malaise
* enlarged tender lymph nodes
* cloudy, foul smelling urine
* abnormal lab values
Medical Asepsis practices used to remove or destroy pathogens and to prevent their spread from one person or place to another person or place; clean technique
Surgical Asepsis * sterile technique
* never turn back on sterile field
* 1 inch border
* date bottle- discard after 24 hours
* hold palm over label
Airborne- standards of precaution * private room
* negative air pressure
* mask or respiratory protection
Droplet- standards of precaution * private room/cohort clients
Contact- standards of precaution * private room/cohort clients
* gloves/gowns
Protective environment- standards of precaution * private room
* positive pressure
* HEPA filtration for incoming air
* respirator mask
* gloves/gowns
Breaking chain of infection * know mode of transmission
* precautions when handling bodily fluids- PPE, mask
* dispose of soiled linen & trash properly
* follow & teach cough etiquette
* proper care of drainage systems & wounds
* transporting clients

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